How much rates vary
Facilitymedian $776 · 10th to 90th $117 to $2,138Professionalmedian $437 · 10th to 90th $316 to $1,047
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $524.81 Median $1,445.44 Typical High $3,162.28 | Facility | None | $524.81 | $1,445.44 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $194.98 | Facility | 26 · Professional part | $117.49 | $154.88 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $794.33 Typical High $1,445.44 | Facility | TC · Technical part | $281.84 | $794.33 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $1,071.52 | Professional | None (both parts) | $398.11 | $524.81 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $141.25 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $794.33 | Professional | TC · Technical part | $281.84 | $371.54 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,819.70 | Facility | None | $1,096.48 | $1,380.38 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $331.13 | $398.11 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $251.19 | $323.59 | $467.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $104.71 | $467.74 | $676.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $117.49 | $131.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $363.08 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,187.76 | Facility | None | $776.25 | $1,479.11 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $794.33 Typical High $1,412.54 | Professional | None (both parts) | $309.03 | $794.33 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $660.69 Typical High $1,258.93 | Professional | TC · Technical part | $245.47 | $660.69 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $501.19 | Professional | None | $338.84 | $398.11 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $81.28 | $89.13 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $309.03 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,148.15 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $125.89 | $158.49 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $1,318.26 | Facility | None | $562.34 | $1,122.02 | $1,318.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $338.84 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $338.84 | $602.56 | $870.96 |
Sentara Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $1,862.09 | Facility | None | $100.00 | $446.68 | $1,862.09 |
Sentara Setting Professional Modifier None (both parts) Typical Low $109.65 Median $616.60 Typical High $1,174.90 | Professional | None (both parts) | $109.65 | $616.60 | $1,174.90 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $114.82 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $588.84 Typical High $954.99 | Professional | TC · Technical part | $302.00 | $588.84 | $954.99 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $588.84 Typical High $1,380.38 | Professional | None (both parts) | $316.23 | $588.84 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $64.57 | $107.15 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $1,202.26 | Professional | TC · Technical part | $239.88 | $478.63 | $1,202.26 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $102.33 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | 27 · Multiple hospital visits | $1,023.29 | $1,258.93 | $1,258.93 |
Where Virginia sits
The same service costs 5.6 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 42nd of 51
$457
WY $1,380UT $245
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.